FORM 1023-EZ for KERRICK COMMUNITY CENTER

Field Data
EIN 81-3553808
Case Number EO-2016235-000028
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KERRICK COMMUNITY CENTER
Organization’s Mailing Address 85115 OAK LAKE ROAD SOUTH
City KERRICK
State MN
ZIP 55756
Accounting period End 6
Primary contact name ANNE MARIE MAST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE MARIE MAST
PRESIDENT
85115 OAK LAKE RD S
KERRICK MN 55756

Officer/Director/Trustee Two

CATHERINE SHEETZ
TREASURER
37392 NORTH SHORELAND DRIVE
STURGEON LAKE MN 55783

Officer/Director/Trustee Three

JOANN ALEXANDER
VICE -PRESIDENT
89477 KOECHER ROAD
KERRICK MN 55756

Officer/Director/Trustee Four

SARAH SHEFCHIK
SECRETARY
58086 PARK HILLS ROAD
BRUNO MN 55712

Officer/Director/Trustee Five

BETH SWAY
OFFICER
49620 SHADOW OAK ROAD
KERRICK MN 55756

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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